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Spastic diplegia cerebral palsy

MedGen UID:
124371
•Concept ID:
C0270804
•
Disease or Syndrome
Synonym: Cerebral palsy, spastic, diplegic
SNOMED CT: Spastic diplegic cerebral palsy (58193001); Diplegic cerebral palsy (58193001); Congenital diplegia (58193001)
 
Monarch Initiative: MONDO:0001167

Definition

A form of spastic cerebral palsy affecting two limbs; usually the legs are affected more than the arms. [from SNOMEDCT_US]

Professional guidelines

PubMed

Physical therapy clinical management recommendations for children with cerebral palsy - spastic diplegia: achieving functional mobility outcomes.
O'Neil ME, Fragala-Pinkham MA, Westcott SL, Martin K, Chiarello LA, Valvano J, Rose RU
Pediatr Phys Ther 2006 Spring;18(1):49-72. doi: 10.1097/01.pep.0000202099.01653.a9. PMID: 16508534
Clinical utility of the Duncan-Ely test for rectus femoris dysfunction during the swing phase of gait.
Marks MC, Alexander J, Sutherland DH, Chambers HG
Dev Med Child Neurol 2003 Nov;45(11):763-8. doi: 10.1017/s0012162203001415. PMID: 14580132

Recent clinical studies

Etiology

Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy.
Phothirook P, Amatachaya S, Peungsuwan P
Int J Environ Res Public Health 2023 Jan 19;20(3) doi: 10.3390/ijerph20031854. PMID: 36767224Free PMC Article
Effects of Kinect Video Game Training on Lower Extremity Motor Function, Balance, and Gait in Adolescents with Spastic Diplegia Cerebral Palsy: A Pilot Randomized Controlled Trial.
Jung S, Song S, Lee D, Lee K, Lee G
Dev Neurorehabil 2021 Apr;24(3):159-165. Epub 2020 Sep 27 doi: 10.1080/17518423.2020.1819458. PMID: 32981401
Hamstring lengthening in females with cerebral palsy have greater effect than in males.
White H, Wallace J, Walker J, Augsburger S, Talwalkar VR, Muchow RD, Iwinski H
J Pediatr Orthop B 2019 Jul;28(4):337-344. doi: 10.1097/BPB.0000000000000633. PMID: 30925526
A comparison of activity, participation and quality of life in children with and without spastic diplegia cerebral palsy.
Calley A, Williams S, Reid S, Blair E, Valentine J, Girdler S, Elliott C
Disabil Rehabil 2012;34(15):1306-10. Epub 2011 Dec 26 doi: 10.3109/09638288.2011.641662. PMID: 22200241
Relationships between spasticity, strength, gait, and the GMFM-66 in persons with spastic diplegia cerebral palsy.
Ross SA, Engsberg JR
Arch Phys Med Rehabil 2007 Sep;88(9):1114-20. doi: 10.1016/j.apmr.2007.06.011. PMID: 17826455

Diagnosis

A case study on interface pressure pattern of two garment orthoses on a child with cerebral palsy.
Shaari IH, Abu Osman NA, Shasmin HN
Proc Inst Mech Eng H 2020 Aug;234(8):884-894. Epub 2020 May 27 doi: 10.1177/0954411920923541. PMID: 32459140
Hamstring lengthening in females with cerebral palsy have greater effect than in males.
White H, Wallace J, Walker J, Augsburger S, Talwalkar VR, Muchow RD, Iwinski H
J Pediatr Orthop B 2019 Jul;28(4):337-344. doi: 10.1097/BPB.0000000000000633. PMID: 30925526
Effect of Horizontal Whole-Body Vibration Training on Trunk and Lower-Extremity Muscle Tone and Activation, Balance, and Gait in a Child with Cerebral Palsy.
Song S, Lee K, Jung S, Park S, Cho H, Lee G
Am J Case Rep 2018 Oct 31;19:1292-1300. doi: 10.12659/AJCR.910468. PMID: 30377290Free PMC Article
Use of Hybrid Assistive Limb (HAL(®)) for a postoperative patient with cerebral palsy: a case report.
Mataki Y, Kamada H, Mutsuzaki H, Shimizu Y, Takeuchi R, Mizukami M, Yoshikawa K, Takahashi K, Matsuda M, Iwasaki N, Kawamoto H, Wadano Y, Sankai Y, Yamazaki M
BMC Res Notes 2018 Mar 27;11(1):201. doi: 10.1186/s13104-018-3311-z. PMID: 29587833Free PMC Article
Effects of the standing program with hip abduction on hip acetabular development in children with spastic diplegia cerebral palsy.
Macias-Merlo L, Bagur-Calafat C, Girabent-Farrés M, A Stuberg W
Disabil Rehabil 2016;38(11):1075-81. Epub 2015 Oct 30 doi: 10.3109/09638288.2015.1100221. PMID: 26517269

Therapy

Effects of Kinect Video Game Training on Lower Extremity Motor Function, Balance, and Gait in Adolescents with Spastic Diplegia Cerebral Palsy: A Pilot Randomized Controlled Trial.
Jung S, Song S, Lee D, Lee K, Lee G
Dev Neurorehabil 2021 Apr;24(3):159-165. Epub 2020 Sep 27 doi: 10.1080/17518423.2020.1819458. PMID: 32981401
Effect of Horizontal Whole-Body Vibration Training on Trunk and Lower-Extremity Muscle Tone and Activation, Balance, and Gait in a Child with Cerebral Palsy.
Song S, Lee K, Jung S, Park S, Cho H, Lee G
Am J Case Rep 2018 Oct 31;19:1292-1300. doi: 10.12659/AJCR.910468. PMID: 30377290Free PMC Article
Effects of botulinum toxin A therapy with electrical stimulation on spastic calf muscles in children with cerebral palsy.
Kang BS, Bang MS, Jung SH
Am J Phys Med Rehabil 2007 Nov;86(11):901-6. doi: 10.1097/PHM.0b013e3181520449. PMID: 17873826
Comparison of three heel cord surgeries in children with cerebral palsy.
Engsberg JR, Oeffinger DJ, Ross SA, White HD, Tylkowski CM, Schoenecker PL
J Appl Biomech 2005 Nov;21(4):322-33. doi: 10.1123/jab.21.4.322. PMID: 16498178

Prognosis

Effect of Horizontal Whole-Body Vibration Training on Trunk and Lower-Extremity Muscle Tone and Activation, Balance, and Gait in a Child with Cerebral Palsy.
Song S, Lee K, Jung S, Park S, Cho H, Lee G
Am J Case Rep 2018 Oct 31;19:1292-1300. doi: 10.12659/AJCR.910468. PMID: 30377290Free PMC Article
Relationships between spasticity, strength, gait, and the GMFM-66 in persons with spastic diplegia cerebral palsy.
Ross SA, Engsberg JR
Arch Phys Med Rehabil 2007 Sep;88(9):1114-20. doi: 10.1016/j.apmr.2007.06.011. PMID: 17826455

Clinical prediction guides

Muscle Activity and Co-Activation of Gait Cycle during Walking in Water and on Land in People with Spastic Cerebral Palsy.
Phothirook P, Amatachaya S, Peungsuwan P
Int J Environ Res Public Health 2023 Jan 19;20(3) doi: 10.3390/ijerph20031854. PMID: 36767224Free PMC Article
Effects of Kinect Video Game Training on Lower Extremity Motor Function, Balance, and Gait in Adolescents with Spastic Diplegia Cerebral Palsy: A Pilot Randomized Controlled Trial.
Jung S, Song S, Lee D, Lee K, Lee G
Dev Neurorehabil 2021 Apr;24(3):159-165. Epub 2020 Sep 27 doi: 10.1080/17518423.2020.1819458. PMID: 32981401
Effect of Horizontal Whole-Body Vibration Training on Trunk and Lower-Extremity Muscle Tone and Activation, Balance, and Gait in a Child with Cerebral Palsy.
Song S, Lee K, Jung S, Park S, Cho H, Lee G
Am J Case Rep 2018 Oct 31;19:1292-1300. doi: 10.12659/AJCR.910468. PMID: 30377290Free PMC Article
Upper Limb Function, Kinematic Analysis, and Dystonia Assessment in Children With Spastic Diplegic Cerebral Palsy and Periventricular Leukomalacia.
Pons R, Vanezis A, Skouteli H, Papavasiliou A, Tziomaki M, Syrengelas D, Darras N
J Child Neurol 2017 Oct;32(11):936-941. Epub 2017 Aug 4 doi: 10.1177/0883073817722451. PMID: 28776460
Correlation among the Visual Gait Assessment Scale, Edinburgh Visual Gait Scale and Observational Gait Scale in children with spastic diplegic cerebral palsy.
Bella GP, Rodrigues NB, Valenciano PJ, Silva LM, Souza RC
Rev Bras Fisioter 2012 Apr;16(2):134-40. PMID: 22584771

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